A 28-Year-Old Man Complaining of Tiredness, Myalgia, and Sore Throat

Case

The patient is a 28-year-old man who presents to urgent care with a fever and complaints of tiredness, myalgia, and sore throat. You note that he has pink, scaly papules on his palms and soles. He also has patchy alopecia developing on his scalp, which he says is a very recent development.

View the photo and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.